Computed tomography and bone scintigraphy in polyostotic fibrous dysplasia

Higashi, Tomomitsu; Iguchi, Mikitaka; Shimura, A; Kruglik, Gerald D.

doi:10.1016/0030-4220(80)90445-4

Cited by 10 publications

(2 citation statements)

References 3 publications

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“…17 Computed tomography (CT) accurately delineates the extent of skeletal involvement and may be especially useful in evaluating craniofacial lesions or those suspected of having undergone sarcomatous transformation. 14,19,20 We have also found CT a valuable adjunct for evaluation of FD lesions not well seen on radiographs, such as those in which the osseous anatomy is complex (spine, skull, and pelvis). Areas of ossification within the lesion may have high attenuation and nonmineralized regions similar attenuation as muscle.…”

Section: Less Frequently the Lesion Will Show A Multiloculatedmentioning

confidence: 99%

Primary Musculoskeletal Tumors of Fibrous Origin

Smith¹,

Kransdorf²

2000

Semin Musculoskelet Radiol

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Tumors of fibrous origin include fibrous dysplasia (FD), fibroxanthoma (nonossifying fibroma), cortical desmoid, desmoplastic fibroma, fibrosarcoma, and malignant fibrous histiocytosis (MFH). Benign fibrous lesions (FD, fibroxanthoma, and cortical desmoid) frequently demonstrate pathognomonic radiologic characteristics obviating the need for biopsy. Indeed, biopsy of these lesions can occasionally lead to confusion with more aggressive lesions. Desmoplastic fibroma and the malignant fibrous lesions (fibrosarcoma and MFH) often reveal nonspecific imaging features of a solitary nonmineralized lesion with aggressive characteristics. However, imaging is important as with other neoplasms in delineating the extent of involvement for staging purposes. This article reviews the spectrum of clinical characteristics, pathology, imaging appearances, treatment, and prognosis of lesions of fibrous origin in bone.

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Section: Less Frequently the Lesion Will Show A Multiloculatedmentioning

confidence: 99%

Primary Musculoskeletal Tumors of Fibrous Origin

Smith¹,

Kransdorf²

2000

Semin Musculoskelet Radiol

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“…The extension of the fibrous dys plasia can usually be defined radiologically, in spite of the complex and different Findings associated with the dis ease. Six main types of roentgenographic changes have been identified: (1) plan d'orange: (2) whorled plaquelike; (3) diffuse sclerotic; (4) cystlike (multilocular or unilobar); (5) pagetoid and (6) chalking (25), and three main vari eties classified (in order of frequency): pagetoid, sclerotic and cystic [24],…”

Section: Discussionmentioning

confidence: 99%

Fibrous Dysplasia of the Skull in Children

Rocco¹,

Marchese²,

Velardi³

1992

Pediatr Neurosurg

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Early diagnosis of skull fibrous dysplasia in children is relatively easy, based on a history of painless progressive bony bulging. The therapeutic approach is still controversial, due to the benignity of the lesion. However, the clinical course may be unpredictable, with sudden appearance of symptoms, some of which can be important and irreversible. In pediatric patients, the possibility that an early surgical correction might positively interfere with the natural history of the lesion has to be evaluated by taking into account the obvious difficulties that will be encountered in reconstructing the skull after a wide excision of the pathologic bone. In the present report, we describe our personal experience on the surgical treatment of 9 children, ranging in age between 7 and 14 years. The patients were subdivided into two groups, according to the localization and extent of the disease. Patients in group 1 presented an involvement of the hair-covered cranium and/or the fronto-orbital region. Group 2 patients presented with a multizonal involvement of the skull, including the central cranial base (pterygoid, sphenoid, petrous and mastoid bone). The different surgical options, chosen for the two groups of patients, are discussed, together with the technical methodologies utilized, the cosmetic results and the long-term follow-up.

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